• Appointments
• Patient Forms
• Referral Forms

To streamline the registration process, you can review and complete various forms prior to your scheduled appointment. We have provided the forms in PDF format so they can be printed out, completed and then brought with you on the day of your exam or faxed over in advance.

	Consent for an Arthrogram or other Radiology Procedure
	CACS Patient History Form (Required of all patients having a CACS exam.)
	Consent for IV Contrast Media Injection - MDCT (Required of all MDCT patients.)
	Consent for IV Contrast Media Injection - MRI (Required of all MRI patients.)
	Consent to Undergo MRI During Pregnancy (Required of all pregnant MRI patients.)
	DEXA Pre-Scan Information (Required of all DEXA patients.)
	HIPAA or Privacy Notice (Our Privacy Notice for your records.)
	HIPAA or Privacy Notice Acknowledgement (Required of all patients. If you’ve completed this form at a prior visit to our office, you do not need to fill it out again.)
	Patient Registration Form (Required of all patients.)
	Patient History/Health Questionnaire (Required of all patients.)
	Pregnancy Test Consent Form For Diagnostic Procedures (Required of all diagnostic imaging patients that may be pregnant.)
	Special Consent to Operate, Provide Medical or Pain Management Treatment

If you are unable to open and read the files listed above, you may need to acquire or update your PDF reader. Click here to download Adobe Acrobat Reader for free.